<p> This dissertation empirically examines the associations between depression and HIV-related outcomes, simulates both care and outcomes under different depression care strategies, and compares the cost effectiveness of various depression care strategies to the current care strategy. </p><p> The empirical investigations reveal the negative associations between depression and HIV-related outcomes using two longitudinal patient-level databases. Furthermore, the patterns and outcomes of depression care are identified and simulated using agent-based modeling. Finally, simulated costs and effectiveness are used to evaluate different depression care strategies for reducing new HIV infections and improving quality of life. </p><p> The current standard of care for depression among patients living with HIV can be characterized as low intensity in terms of screening and treatment; enhanced depression care strategies are proposed and evaluated to be cost-saving. Recommendations are offered to enhance depression care in HIV care settings.</p><p>
| Identifer | oai:union.ndltd.org:PROQUEST/oai:pqdtoai.proquest.com:10642913 |
| Date | 17 April 2018 |
| Creators | Xie, Rongbing |
| Publisher | The University of Alabama at Birmingham |
| Source Sets | ProQuest.com |
| Language | English |
| Detected Language | English |
| Type | thesis |
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